Exam 2 Assignment Questions And
Already Passed Answers.
Mrs. Angela Lasky is a 52-year-old Polish woman who has moved to the United States to be closer to her
daughter. She has high blood pressure and diabetes mellitus, both of which require her to be on
medication. She goes to the local health clinic every 2 weeks to have her blood pressure checked and
blood glucose log reviewed to ensure that she is on the correct dosage of medications.
Jeffrey is the nursing student who helps Mrs. Lasky in the clinic. Jeffrey takes her blood pressure, reviews
her blood glucose log, and discusses the prescribed medication regimen with her to clarify any
confusion. - Answer
Jeffrey asks Mrs. Lasky about her transition to American culture. Mrs. Lasky assures Jeffrey that she is
now bicultural. Which of the following statements clarifies the term biculturalism?
A. Mrs. Lasky does not identify with America or Poland.
B. Mrs. Lasky identifies with America more than Poland.
C. Mrs. Lasky identifies with Poland more than America.
D. Mrs. Lasky identifies with both America and Poland equally. - Answer D. Mrs. Lasky identifies with
both America and Poland equally.
Rationale: Biculturalism, also known as multiculturalism, occurs when an individual identifies equally
with two or more cultures.
Jeffrey tells Mrs. Lasky that it sounds as if she has ____________ into American culture since she has
American friends and follows many of the American traditions. - Answer Answer: assimilated
Rationale: Assimilation occurs when a person is absorbed into a new culture.
For Jeffrey to deliver acceptable care to Mrs. Lasky, he must exhibit cultural competence. Which of the
following are the interlocking components of cultural competence? (Select all that apply.)
A. Cultural awareness
B. Cultural imposition
C. Cultural knowledge
D. Cultural skills
E. Cultural encounters - Answer Answer: A, C, D, E
,Rationale: The interlocking components of cultural competence are cultural awareness, cultural
knowledge, cultural skills, cultural encounters, and cultural desire.
Which of the following is an example of a patient with a health disparity? (Select all that apply.)
1. A patient who has a homosexual sexual preference
2. A patient unable to access primary care services
3. A patient living with a chronic disease
4. A family who relies on public transportation
5. A patient who has had a history of smoking for 10 years - Answer 2. A patient unable to access
primary care services
3. A patient living with a chronic disease
5. A patient who has had a history of smoking for 10 years
Poor health status (chronic disease), disease risk factors (smoking history), poor health outcomes, and
limited access to health care (unable to access primary care) are types of health disparities.
A 35-year-old woman has Medicaid coverage for herself and two young children. She missed an
appointment at the local health clinic to get an annual mammogram because she has no transportation.
She gets the annual screening because her mother had breast cancer. Which of the following are social
determinants of this woman's health? (Select all that apply.)
1. Medicaid insurance
2. Annual screening
3. Mother's history of breast cancer
4. Lack of transportation
5. Woman's age - Answer 1. Medicaid insurance
4. Lack of transportation
5. Woman's age
social determinants of health are the conditions under which persons are born, grow, live, work, and
age. The social determinants of health are mostly responsible for health disparities. Examples include
age, race and ethnicity, socioeconomic status (as reflected by the woman's insurance), access to
nutritious food, transportation resources, religion, sexual orientation, level of education, literacy level,
disability (physical and cognitive), and geographic location (e.g., access to health care).
,During a nursing assessment a patient displayed several behaviors. Which behavior suggests the patient
may have a health literacy problem?
1. Patient has difficulty completing a registration form at a medical office
2. Patient asks for written information about a health topic
3. Patient speaks Spanish as primary language
4. Patient states unfamiliarity with a newly ordered medicine - Answer 1. Patient has difficulty
completing a registration form at a medical office
Behaviors that might reflect a health literacy deficit include having difficulty completing registration
forms or health histories, failing to make follow-up appointments, and asking few questions during a
nursing history or physical examination.
A nurse desires to communicate with a young woman who is Serbian and who has limited experience
with being in a hospital. The nurse has 10 years of experience caring for Serbian women. The patient was
admitted for a serious pregnancy complication. Apply the LEARN model and match the nurse's behaviors
with each step of the model.
1. L ___________ a. The nurse notes that she has learned that fathers can visit mothers at any time in
both Serbia and the United States.
2. E ___________ b. The nurse shares her perception of the woman's experiences as a patient.
3. A ___________ c. The nurse asks the patient how she can maintain bed rest when she returns home.
4. R __________ d. The nurse attends to the patient and listens to her story about hospitals in Serbia.
5. N __________ e. The nurse involves the patient in a discussion of the treatment options for her
condition. - Answer 1d,
2b,
3a,
4e,
5c.
Listen with empathy and understanding to patient perception of the problem; Explain your perceptions
of the problem (physiological, psychological, spiritual, and/or cultural; Acknowledge and discuss cultural
differences and similarities between you and your patient; Recommend treatment (involving the
patient); and Negotiate agreement (incorporate selected aspects of the patient's culture into patient-
centered care).
Health care organizations must provide which of the following based on federal civil rights laws? (Select
all that apply.)
, 1. Provide language assistance services at all points of contact free of charge.
2. Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription
services.
3. Use patients' family members to interpret difficult topics.
4. Ensure that interpreters are competent in medical terminology.
5. Provide language assistance to all patients who speak limited English or are deaf - Answer 1. Provide
language assistance services at all points of contact free of charge.
2. Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription
services.
4. Ensure that interpreters are competent in medical terminology.
5. Provide language assistance to all patients who speak limited English or are deaf
The CLAS standards include standards for communication and language assistance, including providing
language assistance free of charge, auxiliary aids and services, interpreters competent in medical
terminology, and lang
6. A nurse working in a large occupational health clinic knows that many of the workers at her company
are marginalized and at risk for poor health outcomes. Which of the following individuals are most likely
to be marginalized?
1. Wives of the employees
2. The head supervisors of the company
3. Workers who have a high school education
4. Workers employed for less than a year at the company - Answer 3. Workers who have a high school
education
Marginalized groups are more likely to have poor health outcomes and die earlier because of a complex
interaction among their individual behaviors, environment of the communities in which they live, the
policies and practices of health care and governmental systems, and the clinical care they receive.
Examples of marginalized groups include people who are gay, lesbian, bisexual, or transgender; people of
color; people who are physically and/ or mentally challenged; and people who are not college educated.
A mother is concerned about her child's flulike symptoms. You learn from the health assessment that the
mother practices use of "hot" and "cold" foods to treat ailments. Which of the following foods do you
expect the mother to use to treat her child?
1. Chicken
2. Yogurt
